MADHAVI JEFFERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043828

License Status

EXPIRED

Business

First Name

MADHAVI

Last Name

JEFFERSON

Business Name

MADHAVI JEFFERSON

Original Issue Date

01/07/2002

Effective Date

01/07/2002

Expiration Date

01/06/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006